Individual
MS. CECILIE DAWN CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAAT, LPC
Contact information
Practice address
2524 1ST AVENUE, KETCHIKAN, AK 99901
(907) 202-8741
(907) 202-8741
Mailing address
PO BOX 7475, KETCHIKAN, AK 99901
(907) 225-4664
(907) 885-6613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0101611
NM
101YM0800X
Mental Health Counselor
PCOP584
AK
101YP2500X
Professional Counselor
Primary
PCOP584
AK
Other
Enumeration date
05/23/2007
Last updated
03/21/2024
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